| NPI | 1982707113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34930) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 103T00000X Psychologist (Licence: NC 3822) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-06-20 |